DR. Kelly Davis, OD

NPI #1649337106 in Herrin, Illinois

Provider Information

NPI Number: 1649337106
Entity Type: Individual
Name: DR. Kelly Davis, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 500 LINCOLN DR
Address 2: SUITE A
City: Herrin
State: Illinois
ZIP Code: 62948-6334
Phone: (618) 351-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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